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StarTribune.com parental consent form

  • September 30, 2001 - 11:00 PM

INSTRUCTIONS:
Please review, print out and complete the information below. Sign your name at the bottom of the form and fax it to StarTribune.com at 612-673-4840. When StarTribune.com receives and processes your consent form, we will activate your child's account. If you have additional questions, please feel free to call us at (612) 673-9022.

I, __________________________, (Parent's Name) hereby certify that I am the parent and/or lawful guardian of
__________________________. (Child's Name).

My child's Account Identity is _____________________. I understand and agree that when my child registers with startribune.com to use its services or participate in its surveys, contests or games, StarTribune.com or its authorized agents may collect and maintain certain personal information about my child, including:

  • First and last name
  • Gender
  • Parent's e-mail address
  • Birth date
  • Telephone number

I also understand and agree that if my child registers with StarTribune.com to win a prize, StarTribune.com or its authorized agents may collect my child's shipping address in addition to the above-described information.

I further understand and agree that the above-described information will not be disclosed to third parties unless startribune.com has a good-faith belief that is reasonably necessary to comply with the law or to protect the interests of StarTribune.com, the Star Tribune Company or others; except that such information may be provided to authorized third parties for the purposes of providing the services available on startribune.com or of awarding prizes.

I have read and reviewed the above and the StarTribune.com Privacy Policy, and I give my permission for StarTribune.com to collect, use and disclose personal information about my child in accordance with the terms stated above.
_______________________________________ Parent's Signature
_______________________________________ Date

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